Job Details

Description

Job Summary : Coordinates necessary Patient Financial services (PFS) action. Analyzes and resolves non-government credit balances.

Prepares daily bank deposits and completes reconciliations. Serves as liaison between the department and the collection agencies.

Prepares weekly bad debt transfers.

Service and Quality Standards :

Service

Is Customer focused

Anticipates customer needs

Adheres to customer service standards

Is Competent, caring and compassionate

Treats coworkers and customers with dignity and respect

Demonstrates competent, caring and compassionate behavior

to customers and coworkers

People

Is conversation conscious

Assures confidentiality of patient and employee information

Is positive in interactions with others

Is courteous and respectful

Inspires the trust of others

Acts in accordance with hospital policies, meets the requirements of the Code of Conduct, and identifies any conflicts of interest.

Quality

Is excellent in patient care and service

Demonstrates multidisciplinary cooperation

Assists in obtaining excellent satisfaction scores of feedback

Is safety conscious

Demonstrates safety consciousness and supports safety initiatives

Is involved with improvement efforts

Supports performance improvement

Seeks ways to improve systems and services

Shows commitment to improvement efforts

Meets mandatory educational requirements

Growth

Is a loyal ambassador

Demonstrates commitment to hospital mission and vision

Is active and involved

Supports hospital initiatives

Champions innovation and supports change

Is a positive role model

Fosters team cooperation

Finance

Is a good steward of hospital resources

Develops / uses efficient work methods

Is cost effective

Conserves organizational resources

Job Responsibilities :

Reviews and analyzes assigned non-government insurance and patient credit balances to determine necessary action steps need to resolve the credit balances.

Utilizes payor contracts and Contract Management to assist in analysis of credit balance. Interacts with insurance payors when necessary to determine appropriate action.

• Corrects account adjustments when appropriate.
• Researches other accounts patient may have to determine other open balances or applicable insurance information that may assist in resolution of credit balance.
• Prepares daily bank deposits, reconciling deposits to mail check tapes and Meditech postings for point-of-service payments.
• Serves as liaison between the hospital and collection agencies, including early out vendor.
• Processes weekly bad debt transfers.
• Processes requests from early out vendor regarding patient balances.
• Identifies and recommends opportunities for process improvement in Patient Financial Services, or other Revenue Cycle departments, as related to the PFS processes.
• Other Assignments

Qualifications

Education Requirements and Other Requirements :

Education Level : High school diploma or equivalent.

Certification / Licensure : N / A

Experience Requirements :

Previous experience in credit balance processing preferred.

Previous experience in commercial insurance billing and / or follow-up preferred.

Previous experience in hospital patient accounts experience preferred.

Office procedures and keyboarding minimum 50 wpm preferred.

Microsoft Word and Excel experience preferred.

Other computer and organizational skills preferred.

Meditech experience helpful.

Working Conditions : Exposure Category III : Tasks that involve no exposure to blood, body fluids, or tissues, and Category I tasks are not a condition of employment.

The normal work routine involves no exposure to blood, body fluids, or tissues. Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

Physical Activity :

NA 0-25% 26-75% 76-100%

Lift / Carry X

Push / Pull X

Reach Overhead X

Climb X

Squat / Bend / Kneel X

Sit X

Stand X

Walk / Move About X

The most significant duties have been included in this description. Other duties may be assigned and the hospital has the right to modify this job description as needed to accurately reflect assigned duties.

Last updated : 2024-04-29